Video Intervention for Smoking Cessation

Overseen By Kinsey Pebley, PhD, MPH

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Medical University of South Carolina

Disqualifiers: Dementia, Active psychosis, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Approved in 1 Jurisdiction This treatment is already approved in other countries

Compensation: Varies

Number of Visits: 5

40 Participants Needed

Trial Summary

What is the purpose of this trial?

The purpose of the current study is to pilot the efficacy, feasibility, and acceptability of an evidence-based smoking cessation intervention adapted for cancer patients and delivered via video. Investigators aim to assess if this intervention is considered acceptable by participants, feasible to implement, and effective at increasing knowledge about smoking cessation before conducting a fully powered clinical trial.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It focuses on smoking cessation for cancer patients.

What data supports the effectiveness of the VIDeOS Smoking Cessation Program treatment?

Research shows that behavioral treatments, like those used in the VIDeOS program, can help people quit smoking, with some programs achieving long-term success rates of up to 50%. Additionally, social support and relapse prevention training, which are often part of video-based interventions, have been shown to improve quitting success. ^{1 2 3 4 5}

What makes the VIDeOS Smoking Cessation Program unique compared to other smoking cessation treatments?

The VIDeOS Smoking Cessation Program is unique because it uses video interventions, which can be tailored to an individual's readiness to quit and leverage visual messaging to enhance engagement and effectiveness, unlike traditional text-based or manual interventions. ^{5 6 7 8 9}

Eligibility Criteria

This trial is for adults over 18 who have any type of cancer, are currently smoking cigarettes, and receiving care at the Medical University of South Carolina. Participants must be able to read and understand English.

Inclusion Criteria

Currently smoking cigarettes (any amount)

I am 18 years old or older.

Receiving care at Medical University of South Carolina

Exclusion Criteria

Unstable or poorly managed medical or psychiatric conditions that impair cognition and ability to provide informed consent (e.g., dementia, active psychosis)

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline Assessment

Participants complete surveys prior to randomization to assess baseline knowledge and smoking behaviors

1 week

1 visit (virtual)

Intervention

Participants receive either video interventions or NCI pamphlets for smoking cessation

1 week

1 visit (virtual)

Follow-up

Participants complete surveys to assess acceptability, feasibility, and changes in smoking behaviors and knowledge

3 months

3 visits (virtual) at 1 week, 1 month, and 3 months post-randomization

Treatment Details

Interventions

• VIDeOS

Trial Overview The study tests a video-based smoking cessation program tailored for cancer patients. It aims to see if this approach is workable, well-received by participants, and effective in increasing knowledge about quitting smoking before a larger trial.

Participant Groups

Group I: Videos Experimental Treatment 1 Intervention

Participants will be sent links to smoking cessation videos to watch.

Group II: NCI Pamphlet Active Control 1 Intervention

Participants will be sent links to NCI's "Clearing the Air" to read.

Who Is Running the Clinical Trial?

Medical University of South Carolina

Lead Sponsor

Trials

994

Recruited

7,408,000+

Alliance NCORP Research Base Cancer Control Program

Collaborator

Trials

1

Recruited

40+

National Cancer Institute (NCI)

Collaborator

Trials

14,080

Recruited

41,180,000+

Findings from Research

Implementing a tobacco order set in a computerized order-entry system significantly improved the identification of smoking status and increased referrals for smoking counseling and nicotine replacement therapy (NRT) among admitted patients, with usage rates of 76% and 81% respectively.

The intervention led to a notable increase in the percentage of patients receiving counseling (from 0.8% to 2.1%) and NRT orders (from 1.6% to 2.5%), which also enhanced the hospital's performance on smoking cessation quality measures, demonstrating its efficacy in promoting smoking cessation in a hospital setting.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A computerized aid to support smoking cessation treatment for hospital patients. Koplan, KE., Regan, S., Goldszer, RC., et al.[2021]

Smokers who participated in a televised cessation program and received social support had the highest abstinence rates compared to those in discussion groups, no-shows, and no-contact controls, indicating that social support is crucial for successful quitting.

The social support group not only had better outcomes but also increased engagement with program materials, suggesting that both support and active participation are key factors in smoking cessation success.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effects of social support and relapse prevention training as adjuncts to a televised smoking-cessation intervention. Gruder, CL., Mermelstein, RJ., Kirkendol, S., et al.[2019]

Intensive multicomponent behavioral interventions can lead to long-term smoking cessation rates of nearly 50%, highlighting their effectiveness compared to other methods.

Nicotine replacement therapies, such as gum and patches, significantly enhance smoking cessation outcomes, with patches being easier for patients to use correctly.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Smoking cessation products and programs. Lando, HA.[2007]

A randomized clinical trial involving 1409 hospitalized smokers found that a health system-based tobacco cessation program (Transitional Tobacco Care Management) led to higher usage of cessation counseling and nicotine replacement therapy in the first three months after discharge compared to referral to a community quitline.

Although the health system-based model showed better short-term outcomes, the long-term biochemically verified tobacco abstinence rates at six months were not significantly different between the two groups, suggesting that longer treatment duration may be needed to maintain the benefits of the health system approach.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Comparative Effectiveness of Postdischarge Smoking Cessation Interventions for Hospital Patients: The Helping HAND 4 Randomized Clinical Trial. Rigotti, NA., Chang, Y., Davis, EM., et al.[2023]

Television quit smoking programs are increasingly being used as a medium to promote smoking cessation, with various features like timing, content, and cost-effectiveness being explored.

Despite the innovative approaches to using TV for smoking cessation, there has been limited thorough assessment of the actual impact these programs have on viewers' smoking behaviors.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Smoking and television: review of extant literature. Danaher, BG., Berkanovic, E., Gerber, B.[2019]

In a study of 1,131 smokers, nonparticipants in a smoking cessation program were found to have lower motivation and confidence to quit compared to participants, indicating psychological factors play a significant role in engagement with cessation programs.

Despite not participating, 93% of nonparticipants expressed a desire to quit smoking eventually, suggesting that with the right support and motivation, they could be encouraged to engage in future cessation efforts.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Factors associated with nonparticipation among registrants for a self-help, community-based smoking cessation intervention. Kviz, FJ., Crittenden, KS., Warnecke, RB.[2019]

In a randomized controlled trial involving 2,099 smokers, video computer tailoring significantly increased 7-day point prevalence abstinence compared to a control group, with an odds ratio of 1.45, indicating its effectiveness in promoting smoking cessation.

Video computer tailoring was particularly beneficial for smokers with a low readiness to quit, achieving a remarkable odds ratio of 5.13 for prolonged abstinence, suggesting that personalized video messages can effectively motivate smokers who are less prepared to quit.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Comparison of text and video computer-tailored interventions for smoking cessation: randomized controlled trial. Stanczyk, N., Bolman, C., van Adrichem, M., et al.[2022]

A study involving 126 nurses in Thailand demonstrated that online video training significantly improved their knowledge of smoking cessation counseling, with scores increasing from an average of 10.75 to 13.01 after training (p<0.001).

The training also boosted nurses' self-efficacy in providing smoking cessation counseling, with scores rising from 3.70 to 4.36, indicating that video training can effectively enhance both knowledge and confidence in this area.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Outcomes of video training on smoking cessation counseling for nurses. Kalampakorn, S., Panpakdee, O., Pungbangkadee, R., et al.[2023]

The study tested a culturally specific smoking cessation intervention, the Pathways to Freedom (PTF) DVD, with 140 African American smokers, showing positive effects on participants' evaluations of the content, risk perceptions, and readiness to quit smoking after viewing the DVD.

Initial results suggest that the PTF DVD is an effective stand-alone intervention for promoting smoking cessation, indicating its potential for broader application in community health settings for underserved populations.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Efficacy of a DVD-based smoking cessation intervention for African Americans. Webb Hooper, M., Baker, EA., Robinson, RG.[2022]

References

1. United States pubmed.ncbi.nlm.nih.gov

A computerized aid to support smoking cessation treatment for hospital patients. [2021]

2. United States pubmed.ncbi.nlm.nih.gov

Effects of social support and relapse prevention training as adjuncts to a televised smoking-cessation intervention. [2019]

3. United States pubmed.ncbi.nlm.nih.gov

Smoking cessation products and programs. [2007]

4. United States pubmed.ncbi.nlm.nih.gov

Comparative Effectiveness of Postdischarge Smoking Cessation Interventions for Hospital Patients: The Helping HAND 4 Randomized Clinical Trial. [2023]

5. England pubmed.ncbi.nlm.nih.gov

Smoking and television: review of extant literature. [2019]

6. England pubmed.ncbi.nlm.nih.gov

Factors associated with nonparticipation among registrants for a self-help, community-based smoking cessation intervention. [2019]

7. Canada pubmed.ncbi.nlm.nih.gov

Comparison of text and video computer-tailored interventions for smoking cessation: randomized controlled trial. [2022]

8. Greece pubmed.ncbi.nlm.nih.gov

Outcomes of video training on smoking cessation counseling for nurses. [2023]

9. England pubmed.ncbi.nlm.nih.gov

Efficacy of a DVD-based smoking cessation intervention for African Americans. [2022]